0402T

CPT/HCPCS

Collagen cross-linking treatment of disease of cornea

Physician Fee Schedule

Facility

Medicare Payment

$292.05

Submitted Charge$4,465.12
Medicare Allowed$366.00
Providers17
Beneficiaries18
Total Services24
Office

Medicare Payment

$411.59

Submitted Charge$5,188.68
Medicare Allowed$542.78
Providers48
Beneficiaries56
Total Services72